Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $2,173.00 / $4,730.00	Facility		$326.80	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.04 / $21.04 / $21.04	Facility	52	$21.04	$21.04	$21.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.41 / $8.41 / $8.41	Facility	53	$8.41	$8.41	$8.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.76 / $290.82 / $310.99	Facility		$222.76	$290.82	$310.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $44.08 / $328.21	Professional		$0.80	$44.08	$328.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $252.47 / $441.01 / $441.01	Facility		$252.47	$441.01	$441.01
United Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $765.00 / $1,975.00	Facility		$152.74	$765.00	$1,975.00